| NPI | 1629717756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 74466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101286720) |
| 208000000X Pediatrics (Licence: TN 74466) | |
| 208M00000X Hospitalist (Licence: VA 0101286720) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-08-11 |